Sunscreen photoprotection and vitamin D status
Summary Background Global concern about vitamin D deficiency has fuelled debates on photoprotection and the importance of solar exposure to meet vitamin D requirements. Objectives To review the published evidence to reach a consensus on the influence of photoprotection by sunscreens on vitamin D sta...
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| Veröffentlicht in: | British journal of dermatology (1951) 2019-11, Vol.181 (5), p.916-931 |
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| container_title | British journal of dermatology (1951) |
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| creator | Passeron, T. Bouillon, R. Callender, V. Cestari, T. Diepgen, T.L. Green, A.C. Pols, J.C. Bernard, B.A. Ly, F. Bernerd, F. Marrot, L. Nielsen, M. Verschoore, M. Jablonski, N.G. Young, A.R. |
| description | Summary
Background
Global concern about vitamin D deficiency has fuelled debates on photoprotection and the importance of solar exposure to meet vitamin D requirements.
Objectives
To review the published evidence to reach a consensus on the influence of photoprotection by sunscreens on vitamin D status, considering other relevant factors.
Methods
An international panel of 13 experts in endocrinology, dermatology, photobiology, epidemiology and biological anthropology reviewed the literature prior to a 1‐day meeting in June 2017, during which the evidence was discussed. Methods of assessment and determining factors of vitamin D status, and public health perspectives were examined and consequences of sun exposure and the effects of photoprotection were assessed.
Results
A serum level of ≥ 50 nmol L−1 25(OH)D is a target for all individuals. Broad‐spectrum sunscreens that prevent erythema are unlikely to compromise vitamin D status in healthy populations. Vitamin D screening should be restricted to those at risk of hypovitaminosis, such as patients with photosensitivity disorders, who require rigorous photoprotection. Screening and supplementation are advised for this group.
Conclusions
Sunscreen use for daily and recreational photoprotection does not compromise vitamin D synthesis, even when applied under optimal conditions.
What's already known about this topic?
Knowledge of the relationship between solar exposure behaviour, sunscreen use and vitamin D is important for public health but there is confusion about optimal vitamin D status and the safest way to achieve this.
Practical recommendations on the potential impact of daily and/or recreational sunscreens on vitamin D status are lacking for healthy people.
What does this study add?
Judicious use of daily broad‐spectrum sunscreens with high ultraviolet (UV) A protection will not compromise vitamin D status in healthy people.
However, photoprotection strategies for patients with photosensitivity disorders that include high sun‐protection factor sunscreens with high UVA protection, along with protective clothing and shade‐seeking behaviour are likely to compromise vitamin D status.
Screening for vitamin D status and supplementation are recommended in patients with photosensitivity disorders.
Linked Comment: Bikle. Br J Dermatol 2019; 181:884.
Plain language summary available online |
| doi_str_mv | 10.1111/bjd.17992 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_journals_2310946759</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2310946759</sourcerecordid><originalsourceid>FETCH-LOGICAL-p2092-151117cf8bccac34e17a0df7cd3c45091176ad105ed2581df5f37b0e1db554cf3</originalsourceid><addsrcrecordid>eNo9kE9PwzAMxSMEYmVw4AugSpzb2U3TNEfY-KtJHIBzlCap6LS1pUlB-_aEbeCLLb2f7OdHyCVCiqFm1cqkyIXIjkiEtGBJhpQekwgAeAKioBNy5twKACkwOCUTilAIXpYRSV_H1unB2jbuPzrf9UPnrfZN18aqNfFX49WmaeNF7LzyozsnJ7VaO3tx6FPyfn_3Nn9Mli8PT_ObZdJnILIEWbDFdV1WWitNc4tcgam5NlTnDEQQC2UQmDUZK9HUrKa8AoumYizXNZ2S6_3e4OdztM7LVTcObTgps2Be5AVnIlBXB2qsNtbIfmg2atjKv_cCMNsD383abv91BPmbmwy5yV1u8vZ5sRvoD6qsXk4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2310946759</pqid></control><display><type>article</type><title>Sunscreen photoprotection and vitamin D status</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><source>Oxford University Press Journals All Titles (1996-Current)</source><creator>Passeron, T. ; Bouillon, R. ; Callender, V. ; Cestari, T. ; Diepgen, T.L. ; Green, A.C. ; Pols, J.C. ; Bernard, B.A. ; Ly, F. ; Bernerd, F. ; Marrot, L. ; Nielsen, M. ; Verschoore, M. ; Jablonski, N.G. ; Young, A.R.</creator><creatorcontrib>Passeron, T. ; Bouillon, R. ; Callender, V. ; Cestari, T. ; Diepgen, T.L. ; Green, A.C. ; Pols, J.C. ; Bernard, B.A. ; Ly, F. ; Bernerd, F. ; Marrot, L. ; Nielsen, M. ; Verschoore, M. ; Jablonski, N.G. ; Young, A.R.</creatorcontrib><description>Summary
Background
Global concern about vitamin D deficiency has fuelled debates on photoprotection and the importance of solar exposure to meet vitamin D requirements.
Objectives
To review the published evidence to reach a consensus on the influence of photoprotection by sunscreens on vitamin D status, considering other relevant factors.
Methods
An international panel of 13 experts in endocrinology, dermatology, photobiology, epidemiology and biological anthropology reviewed the literature prior to a 1‐day meeting in June 2017, during which the evidence was discussed. Methods of assessment and determining factors of vitamin D status, and public health perspectives were examined and consequences of sun exposure and the effects of photoprotection were assessed.
Results
A serum level of ≥ 50 nmol L−1 25(OH)D is a target for all individuals. Broad‐spectrum sunscreens that prevent erythema are unlikely to compromise vitamin D status in healthy populations. Vitamin D screening should be restricted to those at risk of hypovitaminosis, such as patients with photosensitivity disorders, who require rigorous photoprotection. Screening and supplementation are advised for this group.
Conclusions
Sunscreen use for daily and recreational photoprotection does not compromise vitamin D synthesis, even when applied under optimal conditions.
What's already known about this topic?
Knowledge of the relationship between solar exposure behaviour, sunscreen use and vitamin D is important for public health but there is confusion about optimal vitamin D status and the safest way to achieve this.
Practical recommendations on the potential impact of daily and/or recreational sunscreens on vitamin D status are lacking for healthy people.
What does this study add?
Judicious use of daily broad‐spectrum sunscreens with high ultraviolet (UV) A protection will not compromise vitamin D status in healthy people.
However, photoprotection strategies for patients with photosensitivity disorders that include high sun‐protection factor sunscreens with high UVA protection, along with protective clothing and shade‐seeking behaviour are likely to compromise vitamin D status.
Screening for vitamin D status and supplementation are recommended in patients with photosensitivity disorders.
Linked Comment: Bikle. Br J Dermatol 2019; 181:884.
Plain language summary available online</description><identifier>ISSN: 0007-0963</identifier><identifier>EISSN: 1365-2133</identifier><identifier>DOI: 10.1111/bjd.17992</identifier><identifier>PMID: 31069788</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Consensus ; Endocrinology ; Epidemiology ; Erythema ; Evidence-Based Medicine - standards ; Global Health - standards ; Health care ; Humans ; Mass Screening - standards ; Photosensitivity ; Protective clothing ; Public health ; Recreation ; Reference Values ; Skin - drug effects ; Skin - metabolism ; Skin - radiation effects ; Skin Neoplasms - etiology ; Skin Neoplasms - prevention & control ; Sun Protection Factor ; Sunlight - adverse effects ; Sunscreen ; Sunscreening Agents - administration & dosage ; Sunscreening Agents - adverse effects ; Sunscreening Agents - chemistry ; Sunscreens ; Supplements ; Ultraviolet Rays - adverse effects ; Vitamin D ; Vitamin D - administration & dosage ; Vitamin D - blood ; Vitamin D - metabolism ; Vitamin D Deficiency - blood ; Vitamin D Deficiency - diagnosis ; Vitamin D Deficiency - epidemiology ; Vitamin D Deficiency - prevention & control ; Vitamin deficiency</subject><ispartof>British journal of dermatology (1951), 2019-11, Vol.181 (5), p.916-931</ispartof><rights>2019 The Authors. published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists.</rights><rights>2019 The Authors. British Journal of Dermatology published by John Wiley & Sons Ltd on behalf of British Association of Dermatologists.</rights><rights>2019. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0001-7644-874X ; 0000-0003-3001-0202 ; 0000-0002-0797-6570 ; 0000-0003-4132-9315 ; 0000-0002-2753-4841 ; 0000-0003-4169-1795 ; 0000-0001-5353-192X ; 0000-0001-5426-7948 ; 0000-0002-6446-3763 ; 0000-0002-4163-6772</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fbjd.17992$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fbjd.17992$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>315,782,786,1419,27931,27932,45581,45582</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31069788$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Passeron, T.</creatorcontrib><creatorcontrib>Bouillon, R.</creatorcontrib><creatorcontrib>Callender, V.</creatorcontrib><creatorcontrib>Cestari, T.</creatorcontrib><creatorcontrib>Diepgen, T.L.</creatorcontrib><creatorcontrib>Green, A.C.</creatorcontrib><creatorcontrib>Pols, J.C.</creatorcontrib><creatorcontrib>Bernard, B.A.</creatorcontrib><creatorcontrib>Ly, F.</creatorcontrib><creatorcontrib>Bernerd, F.</creatorcontrib><creatorcontrib>Marrot, L.</creatorcontrib><creatorcontrib>Nielsen, M.</creatorcontrib><creatorcontrib>Verschoore, M.</creatorcontrib><creatorcontrib>Jablonski, N.G.</creatorcontrib><creatorcontrib>Young, A.R.</creatorcontrib><title>Sunscreen photoprotection and vitamin D status</title><title>British journal of dermatology (1951)</title><addtitle>Br J Dermatol</addtitle><description>Summary
Background
Global concern about vitamin D deficiency has fuelled debates on photoprotection and the importance of solar exposure to meet vitamin D requirements.
Objectives
To review the published evidence to reach a consensus on the influence of photoprotection by sunscreens on vitamin D status, considering other relevant factors.
Methods
An international panel of 13 experts in endocrinology, dermatology, photobiology, epidemiology and biological anthropology reviewed the literature prior to a 1‐day meeting in June 2017, during which the evidence was discussed. Methods of assessment and determining factors of vitamin D status, and public health perspectives were examined and consequences of sun exposure and the effects of photoprotection were assessed.
Results
A serum level of ≥ 50 nmol L−1 25(OH)D is a target for all individuals. Broad‐spectrum sunscreens that prevent erythema are unlikely to compromise vitamin D status in healthy populations. Vitamin D screening should be restricted to those at risk of hypovitaminosis, such as patients with photosensitivity disorders, who require rigorous photoprotection. Screening and supplementation are advised for this group.
Conclusions
Sunscreen use for daily and recreational photoprotection does not compromise vitamin D synthesis, even when applied under optimal conditions.
What's already known about this topic?
Knowledge of the relationship between solar exposure behaviour, sunscreen use and vitamin D is important for public health but there is confusion about optimal vitamin D status and the safest way to achieve this.
Practical recommendations on the potential impact of daily and/or recreational sunscreens on vitamin D status are lacking for healthy people.
What does this study add?
Judicious use of daily broad‐spectrum sunscreens with high ultraviolet (UV) A protection will not compromise vitamin D status in healthy people.
However, photoprotection strategies for patients with photosensitivity disorders that include high sun‐protection factor sunscreens with high UVA protection, along with protective clothing and shade‐seeking behaviour are likely to compromise vitamin D status.
Screening for vitamin D status and supplementation are recommended in patients with photosensitivity disorders.
Linked Comment: Bikle. Br J Dermatol 2019; 181:884.
Plain language summary available online</description><subject>Consensus</subject><subject>Endocrinology</subject><subject>Epidemiology</subject><subject>Erythema</subject><subject>Evidence-Based Medicine - standards</subject><subject>Global Health - standards</subject><subject>Health care</subject><subject>Humans</subject><subject>Mass Screening - standards</subject><subject>Photosensitivity</subject><subject>Protective clothing</subject><subject>Public health</subject><subject>Recreation</subject><subject>Reference Values</subject><subject>Skin - drug effects</subject><subject>Skin - metabolism</subject><subject>Skin - radiation effects</subject><subject>Skin Neoplasms - etiology</subject><subject>Skin Neoplasms - prevention & control</subject><subject>Sun Protection Factor</subject><subject>Sunlight - adverse effects</subject><subject>Sunscreen</subject><subject>Sunscreening Agents - administration & dosage</subject><subject>Sunscreening Agents - adverse effects</subject><subject>Sunscreening Agents - chemistry</subject><subject>Sunscreens</subject><subject>Supplements</subject><subject>Ultraviolet Rays - adverse effects</subject><subject>Vitamin D</subject><subject>Vitamin D - administration & dosage</subject><subject>Vitamin D - blood</subject><subject>Vitamin D - metabolism</subject><subject>Vitamin D Deficiency - blood</subject><subject>Vitamin D Deficiency - diagnosis</subject><subject>Vitamin D Deficiency - epidemiology</subject><subject>Vitamin D Deficiency - prevention & control</subject><subject>Vitamin deficiency</subject><issn>0007-0963</issn><issn>1365-2133</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNo9kE9PwzAMxSMEYmVw4AugSpzb2U3TNEfY-KtJHIBzlCap6LS1pUlB-_aEbeCLLb2f7OdHyCVCiqFm1cqkyIXIjkiEtGBJhpQekwgAeAKioBNy5twKACkwOCUTilAIXpYRSV_H1unB2jbuPzrf9UPnrfZN18aqNfFX49WmaeNF7LzyozsnJ7VaO3tx6FPyfn_3Nn9Mli8PT_ObZdJnILIEWbDFdV1WWitNc4tcgam5NlTnDEQQC2UQmDUZK9HUrKa8AoumYizXNZ2S6_3e4OdztM7LVTcObTgps2Be5AVnIlBXB2qsNtbIfmg2atjKv_cCMNsD383abv91BPmbmwy5yV1u8vZ5sRvoD6qsXk4</recordid><startdate>201911</startdate><enddate>201911</enddate><creator>Passeron, T.</creator><creator>Bouillon, R.</creator><creator>Callender, V.</creator><creator>Cestari, T.</creator><creator>Diepgen, T.L.</creator><creator>Green, A.C.</creator><creator>Pols, J.C.</creator><creator>Bernard, B.A.</creator><creator>Ly, F.</creator><creator>Bernerd, F.</creator><creator>Marrot, L.</creator><creator>Nielsen, M.</creator><creator>Verschoore, M.</creator><creator>Jablonski, N.G.</creator><creator>Young, A.R.</creator><general>Oxford University Press</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><orcidid>https://orcid.org/0000-0001-7644-874X</orcidid><orcidid>https://orcid.org/0000-0003-3001-0202</orcidid><orcidid>https://orcid.org/0000-0002-0797-6570</orcidid><orcidid>https://orcid.org/0000-0003-4132-9315</orcidid><orcidid>https://orcid.org/0000-0002-2753-4841</orcidid><orcidid>https://orcid.org/0000-0003-4169-1795</orcidid><orcidid>https://orcid.org/0000-0001-5353-192X</orcidid><orcidid>https://orcid.org/0000-0001-5426-7948</orcidid><orcidid>https://orcid.org/0000-0002-6446-3763</orcidid><orcidid>https://orcid.org/0000-0002-4163-6772</orcidid></search><sort><creationdate>201911</creationdate><title>Sunscreen photoprotection and vitamin D status</title><author>Passeron, T. ; Bouillon, R. ; Callender, V. ; Cestari, T. ; Diepgen, T.L. ; Green, A.C. ; Pols, J.C. ; Bernard, B.A. ; Ly, F. ; Bernerd, F. ; Marrot, L. ; Nielsen, M. ; Verschoore, M. ; Jablonski, N.G. ; Young, A.R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2092-151117cf8bccac34e17a0df7cd3c45091176ad105ed2581df5f37b0e1db554cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Consensus</topic><topic>Endocrinology</topic><topic>Epidemiology</topic><topic>Erythema</topic><topic>Evidence-Based Medicine - standards</topic><topic>Global Health - standards</topic><topic>Health care</topic><topic>Humans</topic><topic>Mass Screening - standards</topic><topic>Photosensitivity</topic><topic>Protective clothing</topic><topic>Public health</topic><topic>Recreation</topic><topic>Reference Values</topic><topic>Skin - drug effects</topic><topic>Skin - metabolism</topic><topic>Skin - radiation effects</topic><topic>Skin Neoplasms - etiology</topic><topic>Skin Neoplasms - prevention & control</topic><topic>Sun Protection Factor</topic><topic>Sunlight - adverse effects</topic><topic>Sunscreen</topic><topic>Sunscreening Agents - administration & dosage</topic><topic>Sunscreening Agents - adverse effects</topic><topic>Sunscreening Agents - chemistry</topic><topic>Sunscreens</topic><topic>Supplements</topic><topic>Ultraviolet Rays - adverse effects</topic><topic>Vitamin D</topic><topic>Vitamin D - administration & dosage</topic><topic>Vitamin D - blood</topic><topic>Vitamin D - metabolism</topic><topic>Vitamin D Deficiency - blood</topic><topic>Vitamin D Deficiency - diagnosis</topic><topic>Vitamin D Deficiency - epidemiology</topic><topic>Vitamin D Deficiency - prevention & control</topic><topic>Vitamin deficiency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Passeron, T.</creatorcontrib><creatorcontrib>Bouillon, R.</creatorcontrib><creatorcontrib>Callender, V.</creatorcontrib><creatorcontrib>Cestari, T.</creatorcontrib><creatorcontrib>Diepgen, T.L.</creatorcontrib><creatorcontrib>Green, A.C.</creatorcontrib><creatorcontrib>Pols, J.C.</creatorcontrib><creatorcontrib>Bernard, B.A.</creatorcontrib><creatorcontrib>Ly, F.</creatorcontrib><creatorcontrib>Bernerd, F.</creatorcontrib><creatorcontrib>Marrot, L.</creatorcontrib><creatorcontrib>Nielsen, M.</creatorcontrib><creatorcontrib>Verschoore, M.</creatorcontrib><creatorcontrib>Jablonski, N.G.</creatorcontrib><creatorcontrib>Young, A.R.</creatorcontrib><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>British journal of dermatology (1951)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Passeron, T.</au><au>Bouillon, R.</au><au>Callender, V.</au><au>Cestari, T.</au><au>Diepgen, T.L.</au><au>Green, A.C.</au><au>Pols, J.C.</au><au>Bernard, B.A.</au><au>Ly, F.</au><au>Bernerd, F.</au><au>Marrot, L.</au><au>Nielsen, M.</au><au>Verschoore, M.</au><au>Jablonski, N.G.</au><au>Young, A.R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sunscreen photoprotection and vitamin D status</atitle><jtitle>British journal of dermatology (1951)</jtitle><addtitle>Br J Dermatol</addtitle><date>2019-11</date><risdate>2019</risdate><volume>181</volume><issue>5</issue><spage>916</spage><epage>931</epage><pages>916-931</pages><issn>0007-0963</issn><eissn>1365-2133</eissn><abstract>Summary
Background
Global concern about vitamin D deficiency has fuelled debates on photoprotection and the importance of solar exposure to meet vitamin D requirements.
Objectives
To review the published evidence to reach a consensus on the influence of photoprotection by sunscreens on vitamin D status, considering other relevant factors.
Methods
An international panel of 13 experts in endocrinology, dermatology, photobiology, epidemiology and biological anthropology reviewed the literature prior to a 1‐day meeting in June 2017, during which the evidence was discussed. Methods of assessment and determining factors of vitamin D status, and public health perspectives were examined and consequences of sun exposure and the effects of photoprotection were assessed.
Results
A serum level of ≥ 50 nmol L−1 25(OH)D is a target for all individuals. Broad‐spectrum sunscreens that prevent erythema are unlikely to compromise vitamin D status in healthy populations. Vitamin D screening should be restricted to those at risk of hypovitaminosis, such as patients with photosensitivity disorders, who require rigorous photoprotection. Screening and supplementation are advised for this group.
Conclusions
Sunscreen use for daily and recreational photoprotection does not compromise vitamin D synthesis, even when applied under optimal conditions.
What's already known about this topic?
Knowledge of the relationship between solar exposure behaviour, sunscreen use and vitamin D is important for public health but there is confusion about optimal vitamin D status and the safest way to achieve this.
Practical recommendations on the potential impact of daily and/or recreational sunscreens on vitamin D status are lacking for healthy people.
What does this study add?
Judicious use of daily broad‐spectrum sunscreens with high ultraviolet (UV) A protection will not compromise vitamin D status in healthy people.
However, photoprotection strategies for patients with photosensitivity disorders that include high sun‐protection factor sunscreens with high UVA protection, along with protective clothing and shade‐seeking behaviour are likely to compromise vitamin D status.
Screening for vitamin D status and supplementation are recommended in patients with photosensitivity disorders.
Linked Comment: Bikle. Br J Dermatol 2019; 181:884.
Plain language summary available online</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>31069788</pmid><doi>10.1111/bjd.17992</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0001-7644-874X</orcidid><orcidid>https://orcid.org/0000-0003-3001-0202</orcidid><orcidid>https://orcid.org/0000-0002-0797-6570</orcidid><orcidid>https://orcid.org/0000-0003-4132-9315</orcidid><orcidid>https://orcid.org/0000-0002-2753-4841</orcidid><orcidid>https://orcid.org/0000-0003-4169-1795</orcidid><orcidid>https://orcid.org/0000-0001-5353-192X</orcidid><orcidid>https://orcid.org/0000-0001-5426-7948</orcidid><orcidid>https://orcid.org/0000-0002-6446-3763</orcidid><orcidid>https://orcid.org/0000-0002-4163-6772</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | British journal of dermatology (1951), 2019-11, Vol.181 (5), p.916-931 |
| issn | 0007-0963 1365-2133 |
| language | eng |
| recordid | cdi_proquest_journals_2310946759 |
| source | MEDLINE; Access via Wiley Online Library; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Consensus Endocrinology Epidemiology Erythema Evidence-Based Medicine - standards Global Health - standards Health care Humans Mass Screening - standards Photosensitivity Protective clothing Public health Recreation Reference Values Skin - drug effects Skin - metabolism Skin - radiation effects Skin Neoplasms - etiology Skin Neoplasms - prevention & control Sun Protection Factor Sunlight - adverse effects Sunscreen Sunscreening Agents - administration & dosage Sunscreening Agents - adverse effects Sunscreening Agents - chemistry Sunscreens Supplements Ultraviolet Rays - adverse effects Vitamin D Vitamin D - administration & dosage Vitamin D - blood Vitamin D - metabolism Vitamin D Deficiency - blood Vitamin D Deficiency - diagnosis Vitamin D Deficiency - epidemiology Vitamin D Deficiency - prevention & control Vitamin deficiency |
| title | Sunscreen photoprotection and vitamin D status |
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